title: Management and outcomes of adnexal masses during    pregnancy: a 6-year experience.
abstract: OBJECTIVE
  To demonstrate adnexal masses detected during gestations in a 6-year period.
  
  
  METHODS
  A retrospective study of pregnancy with adnexal masses requiring surgery over a 6-year period at the Selcuk University Hospital, a tertiary referral center, between June 2000 and June 2006.
  
  
  RESULTS
  We detected 36 pregnancies with adnexal masses. The mean age of the patients was 26.6 years (range, 18-42). The mean gestational age at which adnexal masses were detected was 17 weeks (range, 5-36), and the mean gestational age at the time of surgery was 24 weeks (range, 6-41). Postoperative pathology results of the patients were functional ovarian cysts in 14 cases (41.1%), endometrioma in eight cases (23.5%), dermoid cyst in six cases (17.6%), serous cystadenoma in two cases (5.8%), mucinous cystadenoma in one case (2.9%), para-ovarian cyst in one case (2.9%), and borderline serous tumor in two cases (5.8%). Two patients operated on during the second trimester developed preterm birth risk (5.8%). Miscarriage occurred in only one patient (2.9%).
  
  
  CONCLUSIONS
  In this report, we demonstrate a high rate of surgical intervention of adnexal masses at pregnancy which is secondary to the fact that our center works as a tertiary referral center. Most masses at pregnancies were benign in character and our malignity rate was low. We detected an acceptable complication rate due to surgery in pregnant women.
authors.affiliation: Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Konya, Turkey. drobalci@yahoo.com
authors.forename: Osman
authors.initials: O
authors.lastname: Balci
authors.forename: Kazim
authors.initials: K
authors.lastname: Gezginc
authors.forename: Rengin
authors.initials: R
authors.lastname: Karatayli
authors.forename: Ali
authors.initials: A
authors.lastname: Acar
authors.forename: Cetin
authors.initials: C
authors.lastname: Celik
authors.forename: Mehmet C
authors.initials: MC
authors.lastname: Colakoglu
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome